The Institute for Healthcare Improvement has some good resources for this topic 
in their 100,000 Lives Campaign. One of the goals of the campaign is to reduce 
catheter -related bloodstream infections by implementing the five components of 
the central line bundle. Maximal barrier precautions is one of the components. 
You can get a lot of info at http:www.ihi.org. Also, they list a reference:
Raad, II, Hohn DC, Gilbreath BJ, et al. Prevention of central venous 
catheter-related infections by using maximal sterile barrier precautions during 
insertion. Infect Control Hosp Epidemiol. Apr 1994; 15(4 Pt 1):231-238

-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED] Behalf Of William Brandmeyer
Sent: Friday, March 17, 2006 8:36 PM
To: [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED];
[EMAIL PROTECTED]
Subject: Re: maximal barrier precaution




--- Original Message ---
From: "Anna Liang" <[EMAIL PROTECTED]>
Sent: Fri 3/17/06 6:03 pm
To: "[EMAIL PROTECTED]" <[EMAIL PROTECTED]>, "[EMAIL PROTECTED]" <[EMAIL 
PROTECTED]>, "[EMAIL PROTECTED]" <[EMAIL PROTECTED]>
Cc: 
Subject: Re: maximal barrier precaution

CDC says 'large draping'.
  IHI says 'head to toe'.
   
  but what does "head-to-toe" mean?
  I would think that "head-to-toe" = whole body under drape.
  but how can we achieve that when a patient is awake? (cover their head under 
drape)
   
  our IC is going to check with CDC regarding the 'head-to-toe' issue.

[EMAIL PROTECTED] wrote:
    Please help me explain to a colleague what "maximal barrier precautions" 
are--right now we are using just the small drapes that come in the BARD PICC 
kit and making a jigsaw configured sterile field--she thinks this adequate and 
wants to know by what standard/guideline/authority it is stated that we are 
required to use a full body drape--Thank you in advance for your help  
   
  --
Robbin K. George RN 
Vascular Access Resource 
Alexandria Hospital Virginia 



                        
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